Influence of Double-Gloving on Manual Dexterity and Tactile Sensation of Surgeons

Fry, Donald E.; Harris, W. E.; Kohnke, Elizabeth N; Twomey, Carolyn L

doi:10.1016/j.jamcollsurg.2009.11.001

Cited by 55 publications

(58 citation statements)

References 30 publications

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“…This is contrary to evidence showing no deficit in tactile feedback or manual dexterity when double gloving. 12,14,16 One way to alter this perception might be simulation training involving 2 pairs of gloves to allow trainees to build familiarity and experience as well as to afford the opportunity to experiment with different glove size combinations for comfort in a low-stakes environment. These barriers are similar to those described by St Germaine and colleagues.…”

Section: Discussionmentioning

confidence: 99%

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Practice and attitudes regarding double gloving among staff surgeons and surgical trainees

Lipson¹,

Deardon²,

Switzer³

et al. 2018

cjs

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ReseaRch • RecheRchePractice and attitudes regarding double gloving among staff surgeons and surgical trainees Background: Despite supporting evidence, many staff surgeons and surgical trainees do not routinely double glove. We performed a study to assess rates of and attitudes toward double gloving and the use of eye protection in the operating room. Methods:We conducted an electronic survey among all staff surgeons and surgical trainees at 2 tertiary care centres in Alberta between September and November 2015. We analyzed the data using log-binomial regression for binary outcomes to account for multiple independent variables and interactions. For 2-group comparisons, we used a 2-group test of proportions. Results:The response rate was 34.3% (361/1051); 205/698 staff surgeons (29.4%) and 156/353 surgical trainees (44.2%) responded. Trainees were more likely than staff surgeons to ever double glove in the operating room (p = 0.01) and to do so routinely (p = 0.01). Staff surgeons were more likely than trainees to never double glove (p = 0.01). A total of 300/353 respondents (85.0%) reported using eye protection routinely in the operating room. Needle-stick injury was common (184 staff surgeons [92.5%], 115 trainees [74.7%]). Reduced tactile feedback, decreased manual dexterity and discomfort/poor fit were perceived barriers to double gloving.

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Section: Discussionmentioning

confidence: 99%

“…13 Despite protests to the contrary, it has been shown that double gloving does not reduce manual dexterity or tactile sensation. 14 The purpose of this study was to examine the practice of double gloving among staff surgeons and surgical trainees in Alberta. In addition, we wished to assess the use of eye protection in the operating room.…”

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confidence: 99%

Practice and attitudes regarding double gloving among staff surgeons and surgical trainees

Lipson¹,

Deardon²,

Switzer³

et al. 2018

cjs

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“…14 However, these disadvantages have been the subject of much debate with a recent paper by Fry et al 15 failing to show any significant differences in manual dexterity or tactile sensation associated with double gloving. The merits and disadvantages of double gloving were not the focus of the present study.…”

Section: Discussionmentioning

confidence: 99%

A comparison of the effect of different surgical gloves on objective measurement of fingertip cutaneous sensibility

Bucknor

Karthikesalingam

Markar

et al. 2011

annals

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Ann R Coll Surg Engl 2011; 93: 95-98 95In the wake of challenging global economic circumstances, government reforms in nationalised health systems such as the NHS require the delivery of efficient, high-quality services while reducing costs. 1 The careful selection of surgical equipment can deliver significant cost savings; for example, a recent national audit identified that the NHS in Scotland alone spends approximately £2.6 million on surgical gloves per annum.2 National procurement directives encouraging open competition between glove suppliers would enable the potential saving of £534,000 per annum.2 However, the choice of sterile surgical glove represents a controversial area; although cost savings are possible it is important that surgical technique is not compromised at the expense of patient care. Alterations in surgical glove procurement which were driven purely by cost without regard for clinical factors have faced wide-spread criticism. The prudent selection of surgical gloves can deliver significant efficiency savings. However, objective data are lacking to compare differences in cutaneous sensibility between competing gloves. Therefore, the present study examined the use of a single comparable model of sterile surgical glove from two competing providers, Gammex PF HyGrip ® (Ansell Limited, Red Bank, NJ, USA) with Biogel ® (Mölnlycke Health Care AB, Göteborg, Sweden). SUBJECTS AND METHODS Cutaneous pressure threshold, static and moving two-point discrimination were measured as indices of objective surgical glove performance in 52 blinded healthcare professionals. RESULTS The mean cutaneous pressure threshold was 0.0680 ± 0.0923 g for skin, 0.411 ± 0.661 g for Ansell gloves and 0.472 ± 0.768 g for Biogel gloves. Skin was significantly more sensitive than Ansell (P < 0.0001) or Biogel (P < 0.0001) gloves (Wilcoxon signed rank test). There was no statistical difference between Biogel and Ansell gloves (P = 0.359). There was no significant difference between static or moving 2-point discrimination of skin and Ansell gloves (P = 0.556, P = 0.617; Wilcoxon signed rank test), skin and Biogel gloves (P = 0.486, P = 0.437; Wilcoxon signed rank test) or Ansell and Biogel gloves (P = 0.843, P = 0.670; Wilcoxon signed rank test). CONCLUSIONS No demonstrable objective difference was found between competing gloves in the outcome measures of cutaneous sensibility and two-point discrimination. However, a difference in subjective preference was noted. Untested factors may underlie this discrepancy, and further research should employ more sophisticated measurements of surgical performance using competing models of surgical glove.

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“…Glove status did not affect dexterity performance scores (p = 0.57), even after accounting for the influence of age on score variation (p < 0.001). In addition, when comparing the ulnar and radial surfaces of the index finger for two-point discrimination, no difference was detected between trials (p = 0.66), nor was an interaction effect detected with glove status (p = 0.40) [10]. This study provides empiric data to address concerns about compromised dexterity with the adoption of DG.…”

Section: Discussionmentioning

confidence: 79%

“…Fifty-three volunteer surgeons and surgeons-in-training were studied at the Clinical Congress of the ACS using the Purdue Pegboard test and a standard two-point discrimination test to compare no gloves, a single pair of gloves, and double gloves for manual dexterity and tactile sensitivity [10]. Glove status did not affect dexterity performance scores (p = 0.57), even after accounting for the influence of age on score variation (p < 0.001).…”

Section: Discussionmentioning

confidence: 99%

Continued Non-Compliance with the American College of Surgeons Recommendations To Decrease Infectious Exposure in the Operating Room: Why?

Welc

Nassiry

Elam

et al. 2013

Surgical Infections

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Influence of Double-Gloving on Manual Dexterity and Tactile Sensation of Surgeons

Cited by 55 publications

References 30 publications

Practice and attitudes regarding double gloving among staff surgeons and surgical trainees

Practice and attitudes regarding double gloving among staff surgeons and surgical trainees

A comparison of the effect of different surgical gloves on objective measurement of fingertip cutaneous sensibility

Continued Non-Compliance with the American College of Surgeons Recommendations To Decrease Infectious Exposure in the Operating Room: Why?

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